HomeMy WebLinkAbout21289-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22553
Date AUGUST 26, 1993
THIS CERTIFIES that the building.
Location of Property 1490 ORIOLE DRIVE
House No.
County Tax Map No. 1000 Section 55
Subdivision
ACCESSORY
SOUTHOLD, NEW YORK
Street Hamlet
Block 6 Lot 15.41
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
fil.ed in this office dated MARCH 23{ 1993 pursuant to which
Building Permit No. 21289-Z dated MARCH 26~ 1993
was issued, and conforms to all of the requirements of the applicable
provisions o~ the law. The occupancy for which this certificate is
issued is INGROUND SWIMMING POOL WITH ATTACHED DECK & FENCE ENCLOSURE
AS APPLIED FOR.
The certificate is issued to
KEVIN & THERESA FLYNN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-275997 - MAY 14, 1993
Rev. 1/81
l~O~t~ NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~I? 2128S Z
Permission is hereby granted to: /9 ~ / __ .~_/~ c/~/2
..... ~~....~ ..................................
~.~....~~...~.....~~ ......... ~ ...........................
~,~,.~,~ ,,,~,.,~,....~~~~:~.. ......................... ~ ...............................
............................................... ..............................................................................
~ ~ ~ ~. ,ooo ~,~, ....... ~... ~,~ ....~. ............ ~, ~....Z~..~[
pu~uont to opplicotion dot~ ...... .~..~. ............................... , ]9..~ond oppmv~ by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEP~RITMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'~pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. ~ properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $i00.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..., ..................................... .
New Construction ........... Old Or Pre-existing Building ...... ~ ........
Location of Property ................. ~ ......... : ...............
}louse No. Street Hamlet
Onwer or Owners of Property .............. f...~,.~.~-~ ...... o.....o...o... ....... . ......... ....
County Tax Map No i000, Section....~.~. ...... Block ..... .6. ......... Lot .... ./.~.%~.Z ..........
Subdivision.. ~-.~.O.~.C. ~..~...~..' ....... Filed Ma . .~..~//. ..... .~.~'
p Lot ................
Permit No .... Date Of Permit.. .'. Applicant .....
Health Dept, Approval ...................... Underwriters ~proval ..
Planning Board Approval ....
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .......... ~ ............
'",": ....................
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INS~II~TION
FRAMING [,,~FINAL '
DATE
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185077 BUREAU OF ELECTRICITY
~--- BB JOHN STREET. NEW YORK, NEW YORK 1OO3B
Oat~ M~¥ 14,1993 Appllcation]~o, onfHe O4460393/~3 ~ 275~7
THIS CERTIFIES THAT
KEVIN ~LYNN, 1490 ORIOLE DRIVE, SOUTHOLD, N,Y.
in the following location; ~ Basement ~ let Fl. ~ 2nd FI. OUT Section Bilk
~s exatnlned on ~AY 03t1993 and found to be in compliance with the Na~'onal Elect~cal Code.
SERVICE DISCONNECT I NO. OF I S E R
OTHER APPARATUS:
V
RANGES COOKING DECKS OVENS DISH WASHERS
SPECIAL REC'PT, TIME CLOCKS BELLIUNITHEATERSUNIT HEATERS MULTI-OUTLET
I
NO OF HI-LEG
MOTORS-HE.1.5-1
SWIMMING POOL-1
G.F.C.I:-i
*(SWIMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
have frequent test/and or repairs
<<< Continued on Page 2 >>>
EXHAUST FANS
DIMMERS
GENERAL MANAGER
Per ~/
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
THE NEW YORK BOARD OF FIRE UNDERWRITERS '~AGs ~
17.8§077 BUREAU OF ELECTRICITY ~
-- 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the electrical eqnlpmer~t as d~scrlbed below and introduced by the applicant named on the above application number in the premises of
KBVIN ~LYRR, 1490 ORIOLE DRIVE, SOU?HOLD, N.Y.
in thefollowing location; [] Bwseo,ent [] 1st Fl. [] 2nd FI. OUT Section Block Lot
~s esatnlned on ~{A¥ 03wi993 and found to be in compliance with the National Elect~cal Code.
FIXTURE FIXTURES RANGES OVENS
OUTLETS SWITCHES FLUORESCENT OTHER
E I
OTHER APPARATUS:
made by a qualified person.
ROSLAK ELECTRIC LIC.#3677-E ·
P.O.BOX 164
I CUTCHOGUE, NY, 11935 11~
NAGER
Thiscerfificatemust not bealteredinan manner return tothe office of the Boil,f,n Per --
~ y ; ' r ' ' correct. Inspectors may be identified by their credentials.
NOI.,L~-Id~03 NOd,q
EtaO30,L '"lOOd
OUNDATIO~ . (.2nd)_
OUGH FRAME &
.PLUMBING
]NSULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIONA'L COMMENTS:
: i
~ FORM NO. 1
'~ TOWN OF SOUTHOLD
.BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
~ ~..~....' TEL.: 765'1802
Examihea .... .., 19 .fi;2~ '
Disapproved a/c ' . ...............................
' (~lding~pectoD .
~ ~PPLICATION FOR BUILDING PER~IT
BOARD OF HEALTH .........
3 SETS OF PLA?tS ..........
SURVEY ...................
CllECK ....................
SEPT{C ~ORH ..............
INSTRUCTIONS
a. T[u~s a~p'licat, ion must be eom letel filled in b ewriter 'n ' :
........... . p y y typ or ] ink and submitted to the Building Inspector, with 3
, sets of plans, accurate plot plan to scale. Fee according to schedule.
, b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. Tile work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New, York, and other appl/cable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regu, Jations, and to
admit authorized inspectors on premises and in building for necessary inspections ,
- . . -
--' t tgnature of applicant, or name, if a corporation)
.' (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Narn of owner of premises. .... ................................
(as on the tax roll or latest deed)
If applicant is a corporation.signature of duly authorized officer.
......
(Name and title of corporate officer)
Builder's License No. d.~.,~/.~.~..'.-- .~..'/..~- .....
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ...................................................
................. ...... ¢
House Number Street
County Tax Map No. 1000 Section Block ' Lot../.~, ~'
Subdivision ./~x~2Ot.v9. . .4..7'~r&....'.~.~.~r.4P...,e~.. . . . . Filed Map No. , O~..~../'/. Lot. ~c~...
(Name) ..............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... ~Z' ~C~;ff..'V....~... ~t~ .... .~..~.~.~.~..~,,.,, .~ ':, .,~.O?, -~, ~ ,, .,- , ..... ~,:,9,',¢~' ......
b. Intended use and o~cupancy ./... '.~.'x.~-'5~.. ,/.~. T.. ~.. ~./q.'f/ff... ~.~.~ (~*:(,~fi ..0~..: .., :~;!, .. ,..~..,,?_ -----,.,:5~-e4q4
'3. Nature of work (check which applicable): New Building...' ...... Addition ......... AlteratiorF ' ..
Repair .............. Rem?val .............. Demolition . .,.., .... , ..... Other
......... Fee ....
1~ ' (to be paid on filing ~ehis application)'
5. If dwelling, number of dwelling?nits ............... Number of dOhlling units on each ~oor.
· If garage, hum bet of cars ' · ..............
6 If business commercial or mi~ed occupancy spec[fy ~ature and extent 61' each type of use '
7 .D.,menmops~o! exi§tin~ structurds if any Front'.~.. ¢~.~. ~ ~ ..............
, ~o~ Depth
_ri.eight /. 07~: ~..~P.9. Nu,~ber of Stories ./ii i iii ....... : i' -'"""'''"'' ..........
o~menmons of same structure with alterations or additions: Fro;[ .... ~';(' ' ' ' ' ' ' ' ' ' ' ' ' '' ' ' ............
pth ' . ................. Rear ...... , .........
De ....... I, · Height · . Number of Stories .... '
8. D~menmons ofentire new cons ction: Front ............... . Rear'... ............ Depth ...............
Height ............... Numb~er of Stories
.......... "i .............
9. S,ze of lot: Front... ' ......... '.. ar../.~/.'d ~.'.'( i[ii'De
10. Date of Purchase ~ .... pth
'~ ....... ': ..... .....i '. .......' ......:..~Narpe of For/nei' ~)wner .......... , ......
1 I. ~u,~ or use amtnct m wlnch premmes are situated., f:4.~.tdJ~,od~t,~[ . ' .............
12. D°es proposed construction violate any zoning law ~tinan~e .... ~,,',~ ;;~' .... ~'~' ..........................
i3. ,W, lll lot obe, e, regrade? .. ~..~4~.,~. 'i" ',' L;..:..:,2; .... Will excess, fill l~g removed from preffli~si (,
14. ~ame o~ Owner o~prem~ses ~.)~q .~.:7....~..~.~. ~..qAddress ~.~./%..~.,..c5,,~. ~o.~../(.~hon~/~; .~. ~,~."~ g(d'.~2*..'
Name of Architect .........
Name of Contractor~ ~_Jd'~. 2~/.' ......... Address ,;. p~.,~
· ~-"~..radS. Address ~ ~.'.;~.' ~.~. ~/~Phon,~ '~T,, ~.'~'-- ~-,~,~ .
15. ' I~ this property within 300 feet of a tidal wetland? *~'s ...... ,,. No.. ,~.j~..--,:.r..,.~r .... ~rt~..
· If yes, Southold TOwn Trustees Permit may be reqdlred.
'] PLOT DIAGRAM
Lo at.e. clea~y and dmtmctly al.l bmldmgs, whether ex~shng or proposed; and, indicate all set-back dimensions
.prop.erty nnes. c/we street and blocl~ number or description accordin, to deed ~'a~,~ oh ............. . from
mtenor or corner lot I o ,,, ,u ~.uw a[ree, names eno indicate wnether
765-1802 9' AM TO 4 PM~OR THE
FOLLOWING INSPECTIONS:
1. FOUND~v~ON * %WO REQUIREO
FOR POUdED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3.INSULATION
4, FINAL - CO~S~RcU~T, IONMUST
8ECOMPLETE 0 · ·
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
;rATE OF NE~r~gRJ~, ~
........ ~4<~..~./-C~/:T4. ~. .... ' . being duly sworn, deposes and says that lie is the applicant
' (Na~e of individual signing cpntract)
bove named.
I , agent, corporate officef,:etc.)
f said owner or owners, and is duly antl~On~rform or have performedRhe said work
~plication; that all statements contained n this a licat~on and to make and file this
~. . . ~ PP ' are true to the best~6fhis knowledge and belief; and that the
- 0rk will be performed ~n the manner set forth in the application filed therewith.
~vorn to before me thi;s, i ,
CLAIR; L GLEW · ~.. ~ ............
Notary Pu~IIo, State of New YoH~ .
, , ~o. 48791501 i-'~ / (Signature of applicant)
~ Qualified'in Suffolk Courtly 9~.~
Commission Expires December
Lo~.37
N. 89°54110"W. 1:54.80'
now or formerly Carl 8~ AnthonyCodon ~ Another
DEPARTMENT -DATA FOR APPROM~L TO CO~5T~UC T
NOTE. ~ = STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR.19, 1990 AS FILE N0.8911.
S URIVEY FOR
KEVlN M. FLYNN 81 THERESA FLYNN
LOT NO. 38,"HIGHPOINT MEADOWS, SECTION TWO"
AT SOUTHOLD
TOWN OF SOUTNOLD
SUFFOLK COUNTY, NEW YORK
SOUTHERN r
ACA
STATE ~
YOUNG s YOUNG
ALDEN WYOUNG, PROFESSIONAL ENGINEER
ARO LAND SURVEYOR N Y.S UCENSE NO 12845
HOWARD W. YOUNG, LAND SURVEYOR
N Y S, LICENSE NO 45893
NOV 13,199 I
OCT 9,[991
MAR 27,1991
MAR 20,1991
FEB 25 i991
AUG.22, 990
DArE AUG 9, 1990
SCALE J": 40'
NO 90' 0563,
CERTIFIED TO:
TICOR TITLE GUARANTEE COMPANY
lANn ~11~{~~:
400 0STR&NOE:R AVENUE
RIVERI4EAO, NEW YORK